Troy Bonidie
Individual provider Active NPI Case Manager/Care Coordinator · Wadsworth, OH
NPI 1508340332 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1508340332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 205 Wadsworth Rd
Wadsworth, OH 44281 - Phone
- (234) 217-8882
- Fax
- (234) 217-8941
- NPI assigned
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Assessment and Treatment Services, Inc | Past | Accepting new patients | |
| Community Assessment and Treatment Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
205 Wadsworth Rd
Wadsworth, OH 44281
Mailing address
205 Wadsworth Rd
Wadsworth, OH 44281
Phone (234) 217-8882
Other providers in Wadsworth, OH
- Chase Bills
- Reid Black
- Matthew Blackburn Sr.
- Kimberly A Blair
- Charles Bokoe
- Adam C Booth
- Kathy Bordenkircher
- Bryce Boron
- Bouscher Family Eye Care, Inc.
- Karen L Bouscher
All providers in Wadsworth, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.